Investigation of Relationship Between Severity of Injury, Return to Work, Impairment and Activity Participation in Hand and Forearm Injuries

Çakır, Negihan; Özcan, Ramazan Hakan; Ki̇ti̇ş, Ali̇; Büker, Nihal

doi:10.5505/tjtes.2014.04741

Cited by 7 publications

(9 citation statements)

References 23 publications

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“…In the current study, the high score of the Quick DASH 60 showed a high disability due to occupational upper extremity injuries. Cakir et al found a strong relationship between the severity of injury and time to return to work and DASH scores (20). Kadzeilski et al, in a study on 51 cases with finger injuries, found a mean DASH score of 12, which was inconsistent with the results of the current study (21).…”

Section: Discussioncontrasting

confidence: 80%

Occupational injuries of upper extremities among workers in industries of Yazd, Iran (2015-2016)

Saeed-Banadaky

Pahlavanhosseini

Dehghanizadeh

et al. 2019

JOHE

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Article Info Background: Upper extremity injuries can induce disability and lead to lost workdays. Given the importance of occupational injuries as one of the main causes of upper extremity injuries, this study was conducted to evaluate these kinds of injuries with regard to the age of the injured workers, degree of disability and lost workdays in the city of Yazd. Materials and Methods: In this cross-sectional study, 55 workers with occupational upper extremity injuries were recruited during 2015 to 2016 in Yazd. Data recorded in the labor office of Yazd were collected. The characteristics of the injuries were also collected using the Quick DASH questionnaire. Descriptive statistics were used to report the results. Statistical analyses were carried out using SPSS (version 16) software. Results: Mean Quick DASH (disabilities of the Arm, Shoulder and Hand) score was 60 ± 21.3. Lost workdays of more than 6 months were observed in 52.7% of the cases. Conclusion: This study showed a large number of lost workdays and high levels of disability in individuals with occupational upper extremity injuries.

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Section: Discussioncontrasting

confidence: 80%

Occupational injuries of upper extremities among workers in industries of Yazd, Iran (2015-2016)

Saeed-Banadaky

Pahlavanhosseini

Dehghanizadeh

et al. 2019

JOHE

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“…A higher severity injury score was correlated strongly with higher functional impairment. [28,29] Conclusion Zone 2 injuries, high MHISS values, and smoking were predictors of reoperation after primary flexor tendon repair. However, zone 2 injuries and high MHISS values cannot be modified, and can only be used as predictive indicators for the initial selection of patients who should be followed-up closely and managed comprehensively.…”

Section: Discussionmentioning

confidence: 91%

“…MHISS, which indicates the initial anatomic injury severity, provides an objective and comprehensive assessment. [27] MHISS is useful for predicting the duration of lost working time, [28] functional recovery [29] and future health-related quality of life. [30] We demonstrated that it is also useful to predict reoperation.…”

Section: Discussionmentioning

confidence: 99%

Factors predicting reoperation after hand flexor tendon repair

Uçkun¹

2019

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: This single-center, retrospective study aims to analyze the sociodemographic, injury characteristics, and the total number of lost working days of patients undergoing hand flexor tendon repair and to identify factors predicting reoperation. METHODS: Hand flexor tendon repairs conducted using a four-strand modified Kessler core suture with early rehabilitation from January 2013 to December 2016 were included in this study. The variables evaluated in this study were patient sociodemographic and injury characteristics, number of lost working days, and reoperations because of rupture and/or adhesion formation. Injury severity was determined using Modified Hand Injury Severity Scoring (MHISS). Binary logistic regression analysis was conducted to identify the predictors of reoperation. RESULTS: A total of 194 patients were included in this study, who had experienced 329 tendon injuries. Participants were young (mean age, 31.8), mostly male (79.4%), and mostly blue-collar workers (50.0%). Most patients had a zone 2 injury affecting a single digit of the dominant hand. The mean MHISS value was 46.6, and the mean time to return to work was 114.0 days. A total of 37 (19.1%) patients required reoperation because of rupture and/or adhesion formation. Smoking, zone 2 injury, and high MHISS value were negative predictors of reoperation. CONCLUSION: To minimize the need for reoperation, surgeons and rehabilitation teams should take special care of patients with zone 2 injuries, high MHISS values, and smoking history.

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“…Previous studies have focused on the relationship between the severity of upper extremity traumas, functional disability, and RTW. [2,6,7] On the other hand, the psychological status of the patients may also be affected by the severity of THIs. To our knowledge, in the literature, there is no study investigating the relationship between the severity of the injury and psychological morbidity in THI with major nerve involvement.…”

Section: Introductionmentioning

confidence: 99%

The Association Between Injury Severity and Psychological Morbidity, Hand Function, and Return to Work in Traumatic Hand Injury with Major Nerve Involvement: A One-Year Follow-up Study

Tezel¹

2020

Ulus Travma Acil Cerrahi Derg

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BACKGROUND:We aimed to investigate the association between the severity of the injury and psychological morbidities, hand functions, and return to work (RTW) in traumatic hand injury (THI) with major nerve involvement. METHODS:Thirty-two patients had THI with major nerve involvement were enrolled in this study. The demographic and clinical characteristics of the patients were recorded after the injury. The severity of the injury was evaluated using the modified Hand Injury Severity Score (MHISS). The Disabilities of the Arm, Shoulder, and Hand (Q-DASH) score and Duruöz Hand Index (DHI) were used to assess the hand function. Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Impact of Event Scale-Revised (IES) were performed to assess psychological morbidity. These assessments were performed after injury and at the end of the first year. Time to RTW was recorded in the first year after the injury. Jamar Hand Dynamometer and pinch meter were used for the measurement of hand and finger grip strength at the end of the first year.RESULTS: There were significant improvements in IES-R, BDI, BAI, Q-DASH, and DHI scores at the end of the first year compared with baseline scores. We found a significant correlation between MHISS and time of RTW, Q-DASH, and pinch strengths. We found no significant correlation between MHISS and IES-R, BDI, BAI, and grip strength. CONCLUSION:The severity of the injury is significantly associated with hand functions, pinch strengths, and RTW in THIs with major nerve involvement. The findings showed that there was no association between the severity of the injury and psychological morbidities in the present study.

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Investigation of Relationship Between Severity of Injury, Return to Work, Impairment and Activity Participation in Hand and Forearm Injuries

Cited by 7 publications

References 23 publications

Occupational injuries of upper extremities among workers in industries of Yazd, Iran (2015-2016)

Occupational injuries of upper extremities among workers in industries of Yazd, Iran (2015-2016)

Factors predicting reoperation after hand flexor tendon repair

The Association Between Injury Severity and Psychological Morbidity, Hand Function, and Return to Work in Traumatic Hand Injury with Major Nerve Involvement: A One-Year Follow-up Study

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